Every night, the next day's home visits are clustered by geography and care requirements into optimized routes. Each nurse wakes up to a digital day sheet on her phone by 7 a.m., and when a visit cancels, the route re-sequences itself live.
Typical results
7 a.m.
Day sheets on every phone
-37%
Daily drive time
10 min
Evening planning
Figures reflect typical results for this kind of automation.
The challenge
Coordinators spent evenings juggling visit lists against a wall map, and routes still sent nurses zigzagging across town — wound care in the north, then insulin in the south, then back north. Nurses averaged five visits a day with hours lost to driving, and a single cancellation could unravel an entire afternoon.
Before and after
Visits per nurse per day
+40%Daily drive time per nurse
−37%Evening planning time
−89%The automation
We built a nightly Make scenario that pulls tomorrow's scheduled visits, clusters them by geography and care requirements — matching visit types to each nurse's qualifications — and runs route optimization on every cluster. By 7 a.m. each nurse has a digital day sheet on her phone: ordered stops, navigation links, care notes, and door codes. When a patient cancels, the scenario re-sequences the remaining stops and pings the nurse with the updated route in seconds.
How it works
- 01
Nightly pull
At 11 p.m., the scenario pulls tomorrow's confirmed visits with addresses and care requirements.
- 02
Cluster & match
Visits cluster by geography and pair with nurses who hold the right qualifications.
- 03
Routes optimized
Each nurse's stops are sequenced to minimize drive time across the day.
- 04
Day sheet delivered
By 7 a.m. a digital day sheet with navigation links and care notes hits each phone.
- 05
Live re-sequencing
A cancellation triggers instant re-optimization and an updated route notification.
Starts from
- Scheduled visits
- Addresses & care needs
Delivers
- Routes to phones
- Digital day sheets
- Live re-sequencing
The impact
Nurses now complete seven visits a day instead of five — two more patients seen per nurse without extending shifts. Daily drive time fell by more than a third, evening planning shrank from 90 minutes to a 10-minute review, and cancellations no longer derail anyone's afternoon.
Questions about this automation
How does the optimizer decide which nurse gets which visit?
Each visit carries its care requirements, such as wound care or insulin, and each nurse profile lists qualifications and working hours. The nightly run first matches visits only to qualified nurses, then groups them by geography and orders each nurse's stops to cut drive time. Coordinators can still pin a patient to a specific nurse.
What happens when a patient cancels during the day?
The cancellation is marked in the scheduling system, and the flow re-sequences that nurse's remaining stops right away. The nurse gets an updated route with new navigation links, and the coordinator sees the freed slot, which can be filled with a waiting visit if one fits the route.
What does each nurse see on the day sheet?
A mobile day sheet lists the ordered stops with arrival windows, navigation links, care notes and access details such as door codes. It arrives by 7 a.m. and updates whenever the route changes. Nothing needs to be installed, and the sheet opens on any smartphone the nurse already uses.